DOCUMENTS Initial Application Date: 1 U 0 "/4 Application# \LEOOSL 1?
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:Phillip Leon Duvall Mailing Address:1290 Lafayette Road
City: FuquayVarnia State:NC Zip:27526 Contact No: Wes Matthews Email: wesmattfv @gmail.com
APPLICANT.:Wes Matthews Residential Svcs Mailing Address:6615 Rawls Church Road
City: Fuquay Varina State:NC Zip:27526 Contact No: 919-868-8187 Email: wesmattfv @gmail.00m
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Wes Matthews Phone#919-868-8187
PROPERTY LOCATION:Subdivision: jZ:f LP.LL1 Luc o ' S 51 f 1, Lot#: 1 Lot Size:1 9.4(
State Road# State Road Name: 1.4Jr41-4,t776 f� /� /M'�app Book&Page)a i 1 34-
Parcel:C) O f r7571 p_ v.O !� PIN:l_J�Q /S-�R( Of`'L`-'( 1.V 3
Zoning Flood Zone: �. Watershed: Deed Book&Page �(V/J43? Power Company*:
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFD:(Size x )#Bedrooms: #Baths:_Basement(w/wo bath): Garage:_Deck:_Crawl Space:_Slab:_Slab:_
(Is the bonus room finished?(_J yes L j no wl a closet?()yes (_J no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wlwo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?(J yes (J no Any other site built additions?( )yes ( )no
❑ Manufactured Home: SW DW_TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built? )
LI Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
38.5 24 Pump house and pool shelter (�f 6D ZD
Addition/Accessory/Other:(Size x )Use: `T9 Closets in addition?U yes (L)no
Water Supply: County ✓ Existing Well New Well(#of dwellings using well )"Must have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist) ✓ Existing Septic Tank(Complete Checklist) County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?(___)yes (J no
Does the property contain any easements whether underground or overhead( )yes (j)no evt rb-`
81r �
Structures(existing or proposed):Single family dwellings:1 '[ S� Manufactured Homes: Other(specify). tj(cluak �3t„ w f LA.N11
Required Residential Property Line Setbacks: Comments: ,2 t`"-C (mil ( Lk Q rm
Front Minimum Actual400
Rear 800
Closest Side 65
Sidestreet/comer lot NA
Nearest Building 78
on same lot
Residential Land Use Application Page 1 of 2 1,1;
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 401 North 5 miles, right on Lafayette Rd. 1.5 miles just past Victoria Hills
entrance 2nd drive on right Follow asphalt drive 800'to privacy gate. Call Wes at 919-868-8187 45 minutes prior to visit for gate access
at 919-868-8187.
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted
I hereby state that foregoing state e s ar accur ect to the best of my knowledge. Permit subject to revocation if false information is provided.
2-1 P 4 - 10/20/14
Signature of Owner or Owner's Agent Date
"'It is the owner/applicants responsibility to provide the county with any applicable information about the subject property,Including but not limited
to: boundary information,house location,underground or overhead easements,etc.The county or its employees are not responsible for any
incorrect or missing information that is contained within these applications."'
*'This application expires 6 months from the initial date if permits have not been issued**
Residential Land Use Application Page 2 of 2 03/11
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